{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:02:07Z","timestamp":1792083727200,"version":"4.4.0"},"reference-count":165,"publisher":"Georg Thieme Verlag KG","issue":"S 01","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Cochlea-Implantate stellen heute eine unverzichtbare Methode zur auditiven Rehabilitation hochgradig h\u00f6rgesch\u00e4digter Patienten dar. Durch die rasante Entwicklung der Implantat-technologie haben sich die H\u00f6rergebnisse erheblich verbessert, ca 80% der Patienten k\u00f6nnen telefonieren und Kinder erreichen eine nahezu normale H\u00f6r- und Sprachentwicklung. Das hat zu einer Indikationsausweitung hin zu Patienten mit Hochtontaubheit und einseitiger Taubheit gef\u00fchrt. Zur Zeit sind aber nur etwa 60\u2009000 der ca 1\u2009Million CI-Kandidaten implantiert. Zuk\u00fcnftig werden multimodale universelle H\u00f6rimplantate f\u00fcr die kombinierte elektro-mechanische Stimulation zur Verf\u00fcgung stehen, die fortlaufend eine Anpassung der Stimulationsstrategie an den jeweiligen Funktionszustand von Haarzellen und H\u00f6rnerven auch bei progredienter Schwerh\u00f6rigkeit erm\u00f6glichen. Brain-Computer-Interfaces erlauben die automatisierte Anpassung an die H\u00f6rsituation und eine Optimierung der Signalverarbeitung zur Erzielung eines bestm\u00f6glichen H\u00f6rverm\u00f6gens. Binaurale H\u00f6rsysteme erlauben eine Verbesserung von Richtungsh\u00f6ren und H\u00f6ren im St\u00f6rger\u00e4usch. Advanced Implants besitzen additiv gefertigte individualisierte Elektroden, die sich nach atraumatischer robotisch assistierter Insertion aktiv der Anatomie der Cochlea anpassen. Sie sind in Abh\u00e4ngigkeit von der Pathophysiologie mit integrierten biologischen Komponenten ausgestattet, unterst\u00fctzen die Erhaltung des Restgeh\u00f6rs und erm\u00f6glichen die Regeneration neuraler Elemente zur Verbesserung der Elektroden-Nerven-Schnittstelle. Dadurch lassen sich die heutigen grunds\u00e4tzlichen Grenzen der CI-Technologie \u00fcberwinden und in Richtung des physiologischen Geh\u00f6rs verschieben. Das Bionische Ohr ist somit in Reichweite. Durch konsequente Weiterentwicklung mit Vereinfachung der Versorgung, h\u00f6rerhaltender Implantation unter Lokal-An\u00e4sthesie und Anwendung robotischer Systeme werden zuk\u00fcnftig mehr Patienten von dem neuen physiologischen H\u00f6ren profitieren.<\/jats:p>","DOI":"10.1055\/a-1731-9321","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T22:43:39Z","timestamp":1653345819000},"page":"S36-S78","source":"Crossref","is-referenced-by-count":32,"special_numbering":"S","title":["Cochlea-Implantation: Konzept, Therapieergebnisse und Lebensqualit\u00e4t"],"prefix":"10.1055","volume":"101","author":[{"given":"T.","family":"Lenarz","sequence":"additional","affiliation":[{"name":"Hals-Nasen-Ohrenklinik der Medizinischen Hochschule Hannover"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"B\u00fcchner","sequence":"additional","affiliation":[{"name":"Hals-Nasen-Ohrenklinik der Medizinischen Hochschule Hannover"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Illg","sequence":"additional","affiliation":[{"name":"Hals-Nasen-Ohrenklinik der Medizinischen Hochschule Hannover"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S123","DOI":"10.1055\/s-0043-101812","article-title":"Cochlear Implant \u2013 State of the Art","volume":"96","author":"T Lenarz","year":"2017","journal-title":"Laryngo-Rhino-Otologie"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1007\/s00106-017-0339-7","article-title":"Technische Entwicklungen bei Cochlea-Implantaten. 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